Director Of Revenue Cycle Management (RCM)

Position Summary:

The Director of Revenue Cycle Management oversees revenue cycle operations to support accurate billing, timely reimbursement, effective collections, and strong financial performance. This role leads teams, monitors results, resolves operational barriers, and ensures established processes are followed.

Key Responsibilities

Revenue Cycle Opertions:

• Oversee billing, insurance accounts receivable (AR), denial management, payment posting, patient collections, and account resolution.
• Ensure claims are submitted accurately and timely, and follow-up is completed before payer deadlines.
• Monitor unbilled encounters, aging AR, denials, zero-pay claims, underpayments, and other revenue opportunities.
• Develop and implement action plans to improve reimbursement and prevent avoidable revenue loss.

Team Leadership Accountability:

• Manage and support RCM managers and team leads, with clear ownership of daily operations.
• Set performance expectations, productivity goals, and quality standards; review results and address performance gaps.
• Provide coaching, training, and support to improve staff accuracy, productivity, and consistency.
• Ensure managers and team leads follow through on assigned action items and communicate barriers promptly.

Reporting and Financial Performance:

• Monitor key performance indicators, including collections, AR aging, denial rates, days in AR, and billing turnaround time.
• Review trends, identify risks, and provide leadership with timely, accurate reporting.
• Track progress against established goals and ensure corrective actions are completed.

Process Improvement and Compliance:

• Maintain consistent workflows, documented procedures, and appropriate controls across RCM functions.
• Partner with physicians, practice managers, IT, vendors, and other departments to resolve issues affecting reimbursement.
• Ensure compliance with payer requirements, billing regulations, contractual obligations, and filing and appeal deadlines.
• Identify system, workflow, and training issues and implement practical solutions.

Performance Expectations:

The Director is accountable for meeting established collection goals; reducing aged AR and avoidable denials; ensuring timely billing, follow-up, and account resolution; maintaining accurate payment posting and patient balance processes; building a productive and accountable team; and delivering clear reporting and measurable improvement plans.

Leadership Expectations:

The Director takes ownership of overall RCM performance, identifies issues early, communicates openly with leadership, and ensures action plans are completed. Success is measured by financial results, operational efficiency, team performance, and consistent execution of established processes.